| NPI | 1982847364 |
|---|---|
| Former Name | MARY K COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 7273) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 003250) |
| 103TC0700X Psychologist, Clinical (Licence: CT 003250) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-10-17 |